Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,168.69 / $10,964.78	Facility		$1,230.27	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $2,570.40	Professional		$831.76	$977.24	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $2,238.72	Professional		$691.83	$870.96	$2,238.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $10,964.78	Facility		$1,318.26	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $50,118.72	Facility		$1,513.56	$1,513.56	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $4,168.69	Professional		$912.01	$1,412.54	$4,168.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $3,467.37	Facility		$851.14	$1,096.48	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,089.30	Professional		$1,047.13	$1,445.44	$2,089.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,949.84	Professional		$776.25	$1,202.26	$1,949.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $50,118.72 / $75,857.76	Facility		$977.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,174.90 / $2,511.89	Professional		$398.11	$1,174.90	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $12,882.50	Facility		$2,344.23	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,691.53	Professional		$776.25	$1,122.02	$2,691.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $4,677.35	Facility		$741.31	$1,096.48	$4,677.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $2,818.38	Professional		$741.31	$1,148.15	$2,818.38